KEITH B WHITE (NPI# 1427151646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427151646 |
| Entity Type | Individual |
| Full Name | KEITH B WHITE |
| Credential | PHD |
| Practice Address |
1701 W. Curtis Road Psychology Champaign IL 61822 |
| Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
| Practice Telephone | 2173656206 |
| Practice Fax Number | 2173264003 |
| Mailing Telephone | 2173836792 |
| Mailing Fax Number | 2173834752 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2014-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 071006213 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475268 | Keith Douglas White | Counselor | 12050 Lake Ave Apt 504, Lakewood, OH 44107-1872 | 2018-01-16 |
| 1558620278 | Keith Anthony White | Psychiatry & Neurology | 300 Valley St Ne, Abingdon, VA 24210-2912 | 2012-05-15 |
| 1457491318 | Keith Alan White | Counselor | 12505 Grandview Rd, Grandview, MO 64030 | 2007-02-07 |
| 1447347703 | Keith Allen White | Chiropractor | 2120 West 25th, Suite A, Lawrence, KS 66047 | 2006-10-06 |
| 1720529241 | Keith White Sr. | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2017-03-16 |
| 1831372671 | Keith Turreff White | Dentist | 1855 San Miguel Dr, Suite 20, Walnut Creek, CA 94596-5279 | 2007-12-16 |
| 1821217845 | Keith White | Family Medicine | 2500 Alhambra Ave, Martinez, CA 94553-3156 | 2007-04-25 |
| 1972639870 | Keith L White | Dentist | 800 Rose St Rm D104, University of Kentucky College of Dentistry, Lexington, KY 40536-0297 | 2007-02-26 |
| 1790825602 | Keith Douglas White | Dentist | 2935 Breezewood Ave, Suite200, Fayetteville, NC 28303-5284 | 2007-02-08 |
| 1528146925 | Keith A White | Counselor | 114 N Washington Street, Suite 25-30, Easton, MD 21601 | 2006-11-02 |
| Street Address |
1701 W. CURTIS ROAD PSYCHOLOGY |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205866415 | Ines O Baquero | Obstetrics & Gynecology | 1701 W. Curtis Road, Ob/gyn, Champaign, IL 61822 | 2006-07-04 |
| 1669791166 | Sean Patrick Fullan | Pediatrics | 1701 W. Curtis Road, Champaign, IL 61822-9678 | 2010-05-24 |
| 1518195155 | William D. Holmes | Dermatology | 1701 W. Curtis Road, Champaign, IL 61822-9678 | 2009-06-22 |
| 1457590408 | Tina Yi-ting Yang | Family Medicine | 1701 W. Curtis Road, Champaign, IL 61822-9678 | 2009-02-16 |
| 1518158914 | Jody K Gurtler | Registered Nurse | 1701 W. Curtis Road, Pediatrics, Champaign, IL 61822 | 2007-08-09 |
| 1922159110 | Jeremy Medler | Physician Assistant | 1701 W. Curtis Road, Dermatology, Champaign, IL 61822 | 2007-01-15 |
| 1649347550 | Joyce S Rhee | Internal Medicine | 1701 W. Curtis Road, Adult Medicine, Champaign, IL 61822 | 2006-11-29 |
| 1518067743 | Gretchen B Sperka | Internal Medicine | 1701 W. Curtis Road, Adult Medicine, Champaign, IL 61822 | 2006-09-25 |
| 1710084124 | Paul R Wilson | Internal Medicine | 1701 W. Curtis Road, Adult Medicine, Champaign, IL 61822 | 2006-09-20 |
| 1891898110 | Janet W Welch | Internal Medicine | 1701 W. Curtis Road, Adult Medicine, Champaign, IL 61822 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165910 | Ji Yun Kang | Psychologist | 610 E John St Rm 236, Champaign, IL 61820-5717 | 2020-05-16 |
| 1043789688 | Dynesha Dione Mason-grissom | Psychologist | 2500 Galen Dr Ste 104, Champaign, IL 61821-7038 | 2018-11-13 |
| 1518209030 | Lisa Kinderman | Psychologist | 801 Hessel Blvd, Champaign, IL 61820-6342 | 2013-03-22 |
| 1851663256 | Teresa L Davenport | Psychologist | 201 W Springfield Ave Ste 211, Champaign, IL 61820 | 2012-01-31 |
| 1023200326 | Kathryn Leskis | Psychologist | 301 N Neil St Ste 210, Champaign, IL 61820-3166 | 2007-08-10 |
| 1386777167 | Elaine Zeporah Jacobson | Psychologist | 1 Greencroft Dr, Champaign, IL 61821-5118 | 2007-03-13 |
| 1275642969 | Susan Elaine Minyard | Psychologist | 1701 South Prospect Avenue, Suite 8, Champaign, IL 61820-7050 | 2006-08-29 |
| 1780618595 | Joseph S Alper | Psychologist | 2008 Scottsdale Dr, Champaign, IL 61822-7641 | 2006-07-10 |
| 1003456369 | Rachael D Rubin | Psychologist | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2020-01-14 |
| 1558869081 | Kristin E Thies | Psychologist | 1802 S Mattis Ave, Champaign, IL 61821-5923 | 2018-01-30 |
| Find all providers in CHAMPAIGN | ||||
Please comment or provide details below to improve the information on KEITH B WHITE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.